柴胡桂枝干姜汤病机与药对新解

New Explanation of Chaihu Guizhi Ganjiang Decoction on Pathogenesis and Medicine

柴胡桂枝干姜汤是历代医家争议颇多的伤寒论条文之一,各家解读不一,赵凤林导师结合内经等古籍的研读,从《疟论》对该方的病机进行了新的阐述,并结合中药特性对组方提出新的见解。导师认为,病机除了大家公认的少阳阳郁外,还存在少阳不足、水气博结的矛盾。针对病机将组方分为3大药对,其中妙用在于桂枝主在助阳,瓜蒌、牡蛎主在化水气,并对药量加减进行阐述。

Chaihu Guizhi Ganjiang decoction is one of the controversial treatises on typhoid fever among physicians in the past dynasties.Different interpretations differ.Tutor ZHAO Fenglin combined the study of ancient books such as the "Nei Jing",and made a new explanation of the pathogenesis of the prescription from "On Malaria",and combined the characteristics of traditional Chinese medicine to put forward new insights on the prescription.The instructor believes that in addition to the commonly recognized Shaoyang Yangshu,there are also contradictions of insufficient Shaoyang and congestion of water and air.According to the pathogenesis,the prescriptions are divided into three major drug pairs,among which the magical effect is that Guizhi is the main source of promoting Yang,and the main sources of Gualou and Oyster are to dissipate moisture,and the addition and subtraction of the drug amount is explained.